ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ASPIRUS STEVENS POINT HOSPITAL & CLINICS INC (EIN 39-0808443)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-08
IRS object ID
201342209349300649
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-08T11:17:56-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN390808443EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MICHAELS HOSPITAL OF STEVENS POINTBusinessNameLine1
Business Name Line2INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSTMINameControl
Phone7153465000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 ILLINOIS AVENUEAddressLine1
CitySTEVENS POINTCity
StateWIState
ZIP Code54481ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY MARTINName
TitlePresidentTitle
Date Signed2013-08-08DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts184874666GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.ministryhealth.org/SMH/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1955YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionST MICHAELS MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF A PERSON'S ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1132TotalNbrEmployees
Total Nbr Volunteers224TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year470570ContributionsGrantsPriorYear
Contributions Grants Current Year478101ContributionsGrantsCurrentYear
Program Service Revenue Prior Year178377977ProgramServiceRevenuePriorYear
Program Service Revenue CY180977702ProgramServiceRevenueCY
Investment Income Prior Year332932InvestmentIncomePriorYear
Investment Income Current Year725695InvestmentIncomeCurrentYear
Other Revenue Prior Year2275158OtherRevenuePriorYear
Other Revenue Current Year2615965OtherRevenueCurrentYear
Total Revenue Prior Year181456637TotalRevenuePriorYear
Total Revenue Current Year184797463TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year22470GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY23961GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year99757205SalariesEtcPriorYear
Salaries Etc Current Year105358672SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year61269959OtherExpensePriorYear
Other Expenses Current Year64045399OtherExpensesCurrentYear
Total Expenses Prior Year161049634TotalExpensesPriorYear
Total Expenses Current Year169428032TotalExpensesCurrentYear
Revenues Less Expenses Prior Year20407003RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15369431RevenuesLessExpensesCY
Total Assets BOY137877646TotalAssetsBOY
Total Assets EOY147993843TotalAssetsEOY
Total Liabilities BOY30045533TotalLiabilitiesBOY
Total Liabilities EOY31589990TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY107832113NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY116403853NetAssetsOrFundBalancesEOY
Mission DescriptionST MICHAELS MISSION AS A CATHOLIC HOSPITAL IS TO FURTHER THE HEALING MINISTRY OF JESUS BY CONTINUALLY IMPROVING THE HEALTH AND WELL-BEING OF ALL PEOPLE, ESPECIALLY THE POOR. WE PROVIDE ACUTE HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF A PERSON'S ABILITY TO PAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense146868447Expense
Grants23961Grants
Revenue183054701Revenue
DescriptionSAINT MICHAEL'S HOSPITAL PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY OR METHOD OF PAYMENT. IN ADDITION, THE HOSPITAL PROVIDES EDUCATIONAL PROGRAMS AND SERVICES ON HEALTH CARE ISSUES TO THE COMMUNITY IT SERVES. SEE SCHEDULE H FOR FURTHER DETAILS.Description
Total Program Service Expense146868447TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096141NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1132NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFF BADGER VP CORP FIN TRSNamePerson
Telephone Number7153465000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14941 KIRSCHLING CTAddressLine1
CitySTEVENS POINTCity
StateWIState
ZIP Code54481ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JEFFREY MARTIN
President30.00XX080421145600
SUE BUDJAC
BOARD MEMBER0.25X000
JAMES SCHUH
VICE CHAIR0.25XX000
RICK RETTLER
BOARD MEMBER0.25X000
DICK OKRAY
SECRETARY/TREAS0.25XX000
JIM ANDERSON
BOARD MEMEBER0.25X000
JEFF LANDIN
BOARD MEMBER0.25X000
JOE KINSELLA
Chairman0.25XX000
ANDREW HALVERSON
BOARD MEMBER0.25X000
JAMES DEWEERD MD
BOARD MEMBER0.25X000
NADINE DAVY
BOARD MEMBER0.25X000
BERNIE PATTERSON
BOARD MEMBER0.25X000
KATHY DAVIES
BOARD MEMBER0.25X000
ANDREW BRAUN MD
BOARD MEMBER0.25X000
SISTER PAT BELONGIA
BOARD MEMBER0.25X000
ALLEN PENNEBECKER
VP-FACILITY SER40.00X021710742985
PAULETTE BESSEN
VP-PATIENT CARE40.00X0396482704
WILLIAM HINNER
ASST TREASURER1.00X033870347433
DR G DAVIDSON
SR DENTIST40.00149477018908X
K DEMARS
MASTER BLACK BELT40.00126970022807X
C THOMPSON
CLNCL PHARMACIST40.00154623011620X
D GROEN
DIRECTOR, PHARMACY40.00143529023412X
M KLIENBAUM
CLNCL PHARMACIST40.0012019205471X
GRACE MCBRIDE
VP-PATIENT CARE40.0008896915513X
FieldValueIRS element (for citing)
Total Reportable Comp From Org694791TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1488638TotalReportableCompFrmRltdOrgs
Total Other Compensation236453TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NEW RESOURCES CONSULTING LLC
1000 N WATER STREETMILWAUKEEWI53202STAFFING558683
MARSHFIELD LABORATORIES
1000 NORTH OAK AVENUEMARSHFIELDWI54449MEDICAL SERVICES829301
MARSHFIELD CLINIC
1000 NORTH OAK AVENUEMARSHFIELDWI54449MEDICAL SERVICES392906
HEALTHCARE BUSINESS SERVICE INC
PO BOX 989MARSHFIELDWI54449BILLING SERVICE1141806
HALL RENDER KILLIAN HEATH & LYMAN
39778 TREASURY CENTERCHICACOIL60694LEGAL806615
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Federated Campaigns4892FederatedCampaigns
Related Organizations86894RelatedOrganizations
Government Grants16727GovernmentGrants
All Other Contributions369588AllOtherContributions
Total Contributions478101TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REFERENCE LAB62150079090$79,090
PROGRAM SERVICES-RENTS531120948765948765
PROGRAM SERVICES-HOSPITAL900099129382720129382720
PROGRAM SERVICES-CLINIC6214005056712750567127
FieldValueIRS element (for citing)
Total Program Service Revenue180977702TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column733322TotalRevenueColumn
Related Or Exempt Function Income162095RelatedOrExemptFunctionIncome
Exclusion$571,227ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real10228Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1381Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8847Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8847TotalRevenueColumn
Exclusion$8,847ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other68195Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other75822Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-7627Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-7627TotalRevenueColumn
Exclusion-$7,627ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
OTHER OPERATING INCOME900099583374583374
HOSPICE ALLOCATION621610573866573866
CAFETERIA722210613124$613,124

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column836754TotalRevenueColumn
Related Or Exempt Function Income836754RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2607118TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column184797463TotalRevenueColumn
Related Or Exempt Function Income183054701RelatedOrExemptFunctionIncome
Exclusion$1,264,661ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total23961Total
Program Services23961ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total82513012Total
Program Services75470767ProgramServices
Management And General7042245ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5767232Total
Program Services5696030ProgramServices
Management And General71202ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12495916Total
Program Services10666890ProgramServices
Management And General1829026ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4582512Total
Program Services4298344ProgramServices
Management And General284168ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total632174Total
Management And General632174ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total17828Total
Management And General17828ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2631727Total
Program Services2046651ProgramServices
Management And General585076ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total958222Total
Program Services33239ProgramServices
Management And General924983ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14316054Total
Program Services13782838ProgramServices
Management And General533216ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2263443Total
Program Services2261743ProgramServices
Management And General1700ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2103491Total
Program Services2097434ProgramServices
Management And General6057ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total273398Total
Program Services249561ProgramServices
Management And General23837ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total507376Total
Program Services442872ProgramServices
Management And General64504ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total354162Total
Program Services354162ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7423739Total
Program Services7301660ProgramServices
Management And General122079ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total488047Total
Program Services449018ProgramServices
Management And General39029ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
STATE ASSESSMENT43252414325241
PHARMACEUTICALS4601319458557415745
BAD DEBT63587826358782
PURCHASE SERVICES1694710488871588059946

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total-156708Total
Program Services-2463478ProgramServices
Management And General2306770ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total169428032Total
Program Services146868447ProgramServices
Management And General22559585ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY51761488BOY
EOY50401661EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20829172BOY
EOY22988364EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY962327BOY
EOY1419358EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2509848BOY
EOY2325012EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY353837BOY
EOY445015EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis153411156LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec109225148LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY41287332BOY
EOY44186008EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12138571BOY
EOY15980312EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6238548BOY
EOY7801648EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY435973BOY
EOY400000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1360550BOY
EOY2046465EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY137877646BOY
EOY147993843EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20040801BOY
EOY23655461EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY69568BOY
EOY53981EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9935164BOY
EOY7880548EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY30045533BOY
EOY31589990EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY107828446BOY
EOY116400186EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3667BOY
EOY3667EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY107832113BOY
EOY116403853EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY137877646BOY
EOY147993843EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15369431ReconcilationRevenueExpenses
Reconcilation Other Changes-6797691ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed4955 TaxfalseForm4720Filed4955Tax
Correction MadefalseCorrectionMade
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$9,729OtherActivitiesAmount
Total Lobbying Expenditures IIB9729TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1iIdentifier
Return ReferencePart II-B, Line 1i - Other Activities DescriptionReturnReference
ExplanationST MICHAEL'S HOSPITAL OF STEVENS POINT INC BELONGS TO A NUMBER OF TRADE ASSOCIATIONS (WHA, CHA, AHA, RWHC). THESE ASSOCIATIONS ARE PAID ANNUAL DUES AND A PERCENTAGE OF THE DUES ARE RELATED TO LOBBYING DONE BY THE TRADE ASSOCIATION. LOBBY PERCENTAGES RANGE BETWEEN 3%-25% OF THE ANNUAL AMOUNTS. THE AMOUNT REPORTED ON SCHEDULE C, PT II-B, LINE 1(i) REPRESENTS THE SUM OF ALL TRADE ASSOCIATION DUES RELATED TO LOBBY EXPENSE.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3226265OtherCostOrOtherBasis
Book Value3226265BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis84676140OtherCostOrOtherBasis
Depreciation60579210Depreciation
Book Value24096930BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2095851OtherCostOrOtherBasis
Depreciation1651666Depreciation
Book Value444185BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis58230301OtherCostOrOtherBasis
Depreciation46994272Depreciation
Book Value11236029BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5182599OtherCostOrOtherBasis
Book Value5182599BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings44186008TotalOfBookValueLandBuildings
Total Of Book Value Securities7801648TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Third Party Liabilities$2,778,310
NP - MHC (RELATED PARTY) BOND REFINANCE$802,655
NP - MHC (RELATED PARTY)$4,282,577
DUE TO CHRISTIAN WORKPLACE$17,006
FieldValueIRS element (for citing)
Total Of Amounts7880548TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationMARKET ADJUSTMENTS $1353596 MDC EQUIP FUNDED BY SMH FDTN $39044 FUND BALANCE TRANSFER - FOUNDATION $ -116420 MHC RISK CAPITAL TRANSFER $ -3200000 SJH OUTREACH ALLOCATION $ -3999996 HOSPICE/HOME HEALTH $ -245057 EHR FUNDING AND DEPRECIATION $ -628551 INTERENTITY TRANSFERS $ -307Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2888808TotalCommunityBenefitExpense
Net Community Benefit Expense2888808NetCommunityBenefitExpense
Percent Of Total Expense0.01770PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense24418799TotalCommunityBenefitExpense
Direct Offsetting Revenue15541672DirectOffsettingRevenue
Net Community Benefit Expense8877127NetCommunityBenefitExpense
Percent Of Total Expense0.05440PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense905253TotalCommunityBenefitExpense
Direct Offsetting Revenue104648DirectOffsettingRevenue
Net Community Benefit Expense800605NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense28212860TotalCommunityBenefitExpense
Direct Offsetting Revenue15646320DirectOffsettingRevenue
Net Community Benefit Expense12566540NetCommunityBenefitExpense
Percent Of Total Expense0.07700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1165608TotalCommunityBenefitExpense
Direct Offsetting Revenue16677DirectOffsettingRevenue
Net Community Benefit Expense1148931NetCommunityBenefitExpense
Percent Of Total Expense0.00700PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1632271TotalCommunityBenefitExpense
Direct Offsetting Revenue1245491DirectOffsettingRevenue
Net Community Benefit Expense386780NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense376585TotalCommunityBenefitExpense
Direct Offsetting Revenue9797DirectOffsettingRevenue
Net Community Benefit Expense366788NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3174464TotalCommunityBenefitExpense
Direct Offsetting Revenue1271965DirectOffsettingRevenue
Net Community Benefit Expense1902499NetCommunityBenefitExpense
Percent Of Total Expense0.01160PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense31387324TotalCommunityBenefitExpense
Direct Offsetting Revenue16918285DirectOffsettingRevenue
Net Community Benefit Expense14469039NetCommunityBenefitExpense
Percent Of Total Expense0.08860PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$6,358,782BadDebtExpenseAmount
Amount Reimbursed By Medicare43440821AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare58789019CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-15348198MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MICHAELS HOSPITAL OF STEVENBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1900 ILLINOIS AVENUEAddressLine1
CitySTEVENS POINTCity
StateWIState
ZIP Code54481ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST MICHAELS HOSPITAL OF STEVENBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent400.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Other ActionsXPermitOtherActions
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities20NumberOfOtherFacilities

Other Facilities OtherFacilities (20 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE
601 S CENTER AVENUEMERRILLWI54452OCCUPATIONAL HEALTH SERVICES
MINISTRY MEDICAL GROUP
1000 RIVERVIEW EXPRESSWAYWISCONSIN RAPIDSWI54494OPHTHALMOLOGY SERVICES
AEAS
2811 8TH ST S SUITE 80WISCONSIN RAPIDSWI54494EMPLOYEE ASSISTANCE AND COUNSELING PROGRAMS
AEAS
1820 POST ROAD SUITE 5PLOVERWI54467EMPLOYEE ASSISTANCE AND COUNSELING PROGRAMS
MINISTRY BEHAVIORAL HEALTH
190 GRAND SEASONS DRIVEWAUPACAWI54981ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER
MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE
3301 CRANBERRY BLVDWESTONWI54476OCCUPATIONAL HEALTH SERVICES
MINISTRY MEDICAL GROUP-IOLA
205 S MAIN STREETIOLAWI54945OP CLINIC AND PHYSICAL THERAPY
MINISTRY MEDICAL GROUP-AMHERST
272 CHRISTY STREETAMHERSTWI54406OP CLINIC
MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE
1020 KABEL AVENUERHINELANDERWI54501OCCUPATIONAL HEALTH SERVICES
MINISTRY MEDICAL GROUP
400 DEWEY STREETWISCONSIN RAPIDSWI54494ENT AND NEUROLOGY SERVICES
MINISTRY BEHAVIORAL HEALTH
201 PRENTICE STREET NSTEVENS POINTWI54481RESIDENTIAL ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER
MINISTRY BEHAVIORAL HEALTH
209 PRENTICE STREET NSTEVENS POINTWI54481OP ALCOHOL AND CHEMICAL DEPENDENCY TREATMENT CENTER
MINISTRY MEDICAL GROUP-PFP
3301 STANLEY STREETSTEVENS POINTWI54481OP CLINIC
MINISTRY MEDICAL GROUP-COL
190 GRAND SEASONS DRIVEWAUPACAWI54981OP CLINIC AND PSYCHIATRIC SERVICES
MINISTRY DENTAL CLINIC
3504 E MARIA DRIVESTEVENS POINTWI54481DENTAL CLINIC
ST MICHAELS HOSPITAL REHAB
2401 PLOVER ROADPLOVERWI54467CARDIAC REHAB AND PHYSICAL THERAPY
MINISTRY MEDICAL GROUP OCCUPATIONAL MEDICINE
5412 HWY 10 ESTEVENS POINTWI54481OCCUPATIONAL HEALTH SERVICES, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY
MINISTRY MEDICAL GROUP-POINT
3398 E MARIA DRIVESTEVENS POINTWI54481PSYCHIATRIC SERVICES
MINISTRY MEDICAL GROUP-PLOVER
2401 PLOVER ROADPLOVERWI54467OP CLINIC
MINISTRY MEDICAL GROUP
824 ILLINOIS AVENUESTEVENS POINTWI54481OP CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part VI - Additional InformationWhile there is growing agreement in the United States about what constitutes a non-profit hospital's 'community benefit', this is a work in progress. The organization provided significant charity care and other community benefits as defined by the IRS. But in addition, we believe that we provide a critically important community benefit, which is not quantified. Our hospital, like most hospitals, was created and is maintained in order to provide care locally-care that without our hospital, would not be available locally.
Part V - Explanation of Number of Facility TypeHOSPITAL FACILITY 1: ST MICHAELS HOSPITAL OF STEVENS POINT INC IS A FULLY ACCREDITED, ACUTE-CARE FACILITY OFFERING A COMPREHENSIVE RANGE OF SERVICES TO THE RESIDENTS OF STEVENS POINT, WI AND SURROUNDING COMMUNITIES. THE HOSPITAL WAS ORIGINALLY MADE POSSIBLE THROUGH THE EFFORTS OF THE SISTERS OF THE SORROWFUL MOTHER WHO RALLIED THE COMMUNITY AND RAISED THE NECESSARY FUNDS TO BUILD THE FACILITY NEARLY 100 YEARS AGO ON ITS PRESENT SITE.TODAY, THE HOSPITAL SHARES A CAMPUS WITH MINISTRY MEDICAL GROUP, A MULTI-SPECIALTY PRACTICE WITH MORE THAN 75 PHYSICIANS.
Part VI - States Where Community Benefit Report FiledWI
Part VI - Affilated Health Care System Roles and PromotionThe organization is part of an affiliated health care system called Ministry Health Care, Inc. The mission of Ministry as a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well being of all people, especially the poor, in the communities served. Ministry supports such non-hospital facilities as the Agape Community Center. As a community center, it has the unique advantage of welcoming youth, adults, families and seniors into the facility through a broad range of educational, social, recreational, cultural, health and life-long learning opportunities in an impoverished portion of Milwaukee. Our Catholic Identity expects leaders to initiate and support efforts to reach out to the poor and vulnerable people, especially where no one else wants to go. Health care can become very bureaucratic and burdened with oversight of finances, regulatory requirements and strategic planning. Our focus on these issues may cause us to lose touch with those for whom we have a primary responsibility-those who are poor and vulnerable. Tithing of time allows us to look into the face of the poor, hear the voice of the poor, and help us better understand the daily challenges and barriers they face. As an affiliated health system, all leaders with direct reports are required to provide service to the poor. This also includes physician leaders and hourly supervisory staff. The organization has a foundation which is not included within the operations of the organization. The foundation provides programs and cash donations which help support the mission of the organization and the affiliated health care system.
Part VI - Explanation Of How Organization Furthers Its Exempt PurposeThe organization strives to further its exempt purposes by the following: (1) The organization's governing board consists primarily of persons who reside within the primary service area. They are not employees of the organization. (2) As mentioned, the organization provides several services which are not otherwise available being in a rural setting. (3) Based on the organization's mission, emergency rooms are made available to all patients regardless of the ability to pay. (4) The organization also participates in the education and training of healthcare professionals through internship programs.Certain specialized services available include: Dental Services to primarily the indigent, Fertility Clinic services and WIC home visits to new mothers and infants.
Part VI - Community Building ActivitiesCommunity-building activities include programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental problems. These activities support community assets by offering the expertise and resources of the organization. Costs for these activities include cash, in-kind donations, and expenditures for the development of a variety of community health programs and partnerships. St Michaels Hospital is involved in suicide prevention working in conjunction with Portage County and participates in other community efforts such as the HIV/AIDS Ministry project, the Hunger Prevention Coalition, Elder abuse education/prevention and a support group at Oakridge Senior Center. MANY EMPLOYEES ALSO VOLUNTEER IN THE COMMUNITY FOR PROGRAMS INCLUDING MEDICAL MISSION TRIPS, MEALS ON WHEELS, HABITAT FOR HUMANITY, OPERATION BOOTSTRAP, AMONG OTHERS.
Part VI - Community InformationSt Michael's Hospital serves Stevens Point, WI and the surrounding villages and towns, including Plover, Whiting, Custer, Park Ridge, Stockton, and the Town of Hull. It is located in the center of the state in Portage County. According to 2010 census information, the city of Stevens Point has a population of over 26,000 while Portage County's population exceeds 70,000. The racial makeup of the city is 91.7% White, 4.68% Asian, 0.92% African American, 0.43% Native American, and 2.27% from other races. The population age is widespread, with 16.0% under the age of 18, 31.2% from 18 to 24, 27.3% from 25 to 49, 13.5% from 50 to 64, and 12.0% who were 65 years of age or older. Based on 2010 estimates, the per capita income for the city was $21,653. About 17.3% of the population had incomes below the poverty line. Unemployment rates between October 2011 and September 2012 averaged about 8.0%. Like much of the country, the area continues to feel the effects of the economic downturn and has experienced a very slow recovery after the significant loss of jobs since 2009. Stevens Point is home to the University of WisconsinStevens Point, which enrolls almost 10,000 students in both undergraduate and graduate degree programs. Mid-State Technical College (MSTC), a technical college, is also located in the city. Major employers include Sentry Insurance, the University of Wisconsin-Stevens Point, Ministry Health Care, Associated Banc-Corp and Travel Guard.
Part VI - Patient Education of Eligibility for AssistanceMHC has financial counselors located at every hospital. If a patient indicates they are unable to pay their bill at any point during pre-service, admission, discharge or billing process, the financial counselors will assist the patient in either securing a funding source (grants, COBRA coverage, Disability benefits, Medicaid, VA, etc) if eligible or assist them in completing a financial assistance application.
Part VI - Needs AssessmentThe organization performs community needs assessments as needed. Planning workgroups consisting of community partners are formed to define the community and its needs through review of Health People Initiatives, census documents, and local government health and welfare agencies. Considering other community resources/assets, data collection methods are used to identify particular problems or subgroups and areas known to have high poverty rates and to be underserved. The data is analyzed and priorities are set based on trending information which may target a specific need. When a need is identified, the hospital develops a plan to implement a program either through community collaboration or individually. Outcomes from the programs are measured and considered in subsequent community needs assessments. Community benefit plans are presented to senior leadership and board members to ensure the findings are incorporated into the organization's strategy and policy development. For example, senior leaders are required to provide direct service to the poor hours as part of their performance goals.
Part V, Line 15e - Other Collection Actions Against a PatientWe make every effort to determine patient's eligibility for assistance prior to billing. If patient is uncooperative or unresponsive, the patient account may be referred to a collection agency for further billing effort. If patient does indicate inability to pay, we will stop collection efforts and work with patient to complete a financial assistance application. We do not file liens, lawsuits, or report to credit agency, until all determination efforts have been exhausted.Number of Hospital Faciltiy - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsTHE ORGANIZATION HAS A DEBT COLLECTION POLICY WHICH SETS FORTH COLLECTION PRACTICES FOR PATIENTS WHO ARE KNOWN TO QUALIFY OR MAY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE PROGRAM. SUFFICIENT FINANCIAL COUNSELING SUPPORT IS MADE AVAILABLE TO PATIENTS SO THEY CAN EASILY ACCESS PATIENT FINANCIAL SERVICE REPRESENTATIVES AND HAVE THEIR QUESTIONS ANSWERED, AND GAIN AN UNDERSTANDING OF THE REASONS WHY THEY OWE A BALANCE. ACCOUNTS ARE DESIGNATED AS CHARITY CARE IN THE BUSINESS OFFICES SO NO ADDITIONAL TIME IS SPENT ON COLLECTION EFFORTS.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitTHE SHORTFALL ASSOCIATED WITH MEDICARE SHOULD BE CONSIDERED A COMMUNITY BENEFIT FOR SEVERAL REASONS. FIRST, IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NON-PROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. SECOND, FOR-PROFIT SPECIALTY HOSPITALS HAVE BEEN CARVING OUT CERTAIN HIGH-MARGIN SERVICES (IE CARDIAC, ORTHOPEDICS, AND ONCOLOGY), LEAVING GENERAL ACUTE CARE HOSPITALS WITH LOWER-MARGIN MEDICARE SERVICES. THIS INDICATES THAT MEDICARE LOSSES CAN BE A RESULT OF RENDERING THESE LOWER-MARGIN SERVICES (WHICH BENEFIT THE COMMUNITY) RATHER THAN INEFFICIENT OPERATIONS. LASTLY, THE COMMUNITY WHICH THE ORGANIZATION SERVES HAS MEDICARE AS THE LARGEST PAYER. THE ORGANIZATION MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A COMMUNITY BENEFIT. THE DEMOGRAPHIC OF THE COMMUNITY IS ALSO AN AGING AND UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY.
Part III, Line 4 - Bad Debt ExpenseNO FOOTNOTE EXISTS IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. BAD DEBT EXPENSE IS RECORDED IN A CONSISTENT MANNER WITH THE ORGANIZATION'S COLLECTIONS POLICIES. BAD DEBT EXPENSE INCLUDES ACCOUNTS WHICH ARE WRITTEN OFF AND ESTIMATES MADE ON LIVE ACCOUNTS BASED ON HISTORICAL PAYMENT TRENDS AND ACCOUNT MODELING.A NUMBER OF PATIENTS ARE TRULY UNABLE TO PAY THEIR OUT-OF-POCKET LIABILITY, BUT DO NOT COMPLETE THE PROCESS REQUIRED TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THESE PATIENTS WOULD QUALIFY FOR CHARITY CARE IF THEY COMPLETED THE CHARITY APPLICATION, SO THE BAD DEBT EXPENSE ASSOCIATED WITH TREATING THEM SHOULD BE TREATED AS COMMUNITY BENEFIT. THE ADMINISTRATIVE REQUIREMENTS TO DETERMINE WHETHER PATIENTS WHO DO NOT COOPERATE WITH THE FINANCIAL ASSISTANCE PROCESS WOULD HAVE QUALIFIED FOR CHARITY CAN BE BURDENSOME, PARTICULARLY FOR SMALL BALANCES. THE ORGANIZATION CONTINUES SERVING PATIENTS EVEN AFTER THE PATIENTS HAVE GENERATED SIGNIFICANT BAD DEBT WHICH IS EVIDENCE THAT THE CARE IS GIVEN FOR COMMUNITY BENEFIT MOTIVATIONS.
Part I, Line 7, Column F - Explanation of Bad Debt ExpenseBAD DEBT EXPENSE OF $6,358,782 IS EXCLUDED FROM TOTAL OPERATING EXPENSES OF $169,429,142 WHEN CALCULATING PERCENTAGE OF TOTAL EXPENSE IN PART 1, LINE 7, COL. F.
Part I, Line 7 - Explanation of Costing MethodologyAmounts calculated in Part I, Line 7 are determined both on a cost accounting system and a cost-to-charge ratio. Other Benefits are determined based on the direct and indirect costs (where allocated) associated with a program net of earned revenue. Detail for each program/activity is maintained and determined at the department level. Charity care and means-tested programs are determined based on a cost-to-charge ratio consistent with Worksheet 2, Ratio of Patient Care Cost to Charges.
Part I, Line 6a - Related Organization Community Benefit ReportAs part of Ministry Health Care, Inc., the organization files an annual community benefit report on its webpage. The report can be viewed by visiting www.ministryhealth.org/MinistryHealth/Community.nws.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantCHRISTIAN WORKPLACE COMMITTEE-EMPLOYEES IN NEED ASSISTANCETypeOfGrant
Number Of Recipients218NumberOfRecipients
Amount Of Cash Grant23961AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationTHE CHRISTIAN WORKPLACE COMMITTEE HELPS EMPLOYEES OF ST MICHAEL'S HOSPITAL OR MINISTRY MEDICAL GROUP WHO EXPERIENCE AN UNEXPECTED PERSONAL LOSS OR CRISIS. THE NEED IS DOCUMENTED AND EVALUATED BY COMMITTEE MEMBERS AND ALLOCATED BASED ON FUNDS AVAILABLE. CASH IS NOT GIVEN DIRECTLY TO THE EMPLOYEE IN NEED; RATHER FUNDS ARE PROVIDED THROUGH PAYMENTS MADE DIRECTLY TO UTILITY COMPANIES, LANDLORDS, HOSPITALS, ETC. GAS AND GROCERY GIFT CARDS ARE PURCHASED TO ENSURE FUNDS ARE USED AS INTENDED. THE COMMITTEE ALSO ASSISTS WITH BACK-TO-SCHOOL EXPENSES, HOLIDAY MEAL BASKETS AND CAMP SCHOLARSHIPS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrg
WILLIAM HINNER
23858856804433113053116902386136
JEFFREY MARTIN
4225182080461736472955616044849811
GRACE MCBRIDE
6158724342494889246589104482
DR G DAVIDSON
1459483529304815860168385
D GROEN
1369806549293920473166941
C THOMPSON
1382701202801881916624316233
ALLEN PENNEBECKER
11329934736690722543217553260092

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSch J, Part I, Line 1aIdentifier
Return ReferencePart I, Line 1a: Relevant information in regards to selections on 1a.ReturnReference
ExplanationSOCIAL CLUB DUES PROVIDED ON BEHALF OF:JEFFREY MARTIN $ 5,064Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990 PART XI QUESTION 2b - AUDITMINISTRY HEALTH CARE INC ENGAGES THE SERVICES OF MCGLADREY & PULLEN TO DO A CONSOLIDATED AUDIT OF IT'S HEATH CARE FACILITIES AND RELATED FOUNDATIONS. WHILE SAINT MICHAELS HOSPITAL OF STEVENS POINT INC DOES NOT HAVE ITS OWN INDIVIDUAL AUDIT, IT IS PART OF THE CONSOLIDATED AUDIT PERFORMED.
FORM 990 PART IX LINE 24 - OTHER EXPSEXECUTIVES ARE EMPLOYED BY MINISTRY HEALTH CARE INC (39-1490371) AND THEIR SALARIES AND BENEFITS ARE ALLOCATED TO INDIVIDUAL FACILITIES BASED ON HOURS DEDICATED. ST MICHAELS REIMBURSES THE CORPORATE OFFICE FOR ITS SHARE AND THESE EXPENSES ARE INCLUDED ON FORM 990, PART IX, LINE 24 UNDER MHC EXECUTIVE SERVICES. PLEASE SEE FORM 990 PART VII SECTION A AND SCHEDULE J FOR ADDITIONAL DISCLOSURES REGARDING EXECUTIVE COMPENSATION.
CLINIC PHYSICIAN SERVICESST MICHAELS HOSPITAL IS HOSPITAL-BASED FOR MEDICARE REIMBURSEMENT PURPOSES. IT'S PHYSICIAN CLINIC SERVICES ARE PROVIDED BY MINISTRY MEDICAL GROUP (39-1965593) WHOSE PARENT CORPORATION IS MINISTRY HEALTH CARE INC (39-1490371). THESE SERVICES INCLUDE PHYSICIAN SALARIES AND BENEFITS. HOSPITAL-BASED REVENUE AND EXPENSES GENERATED BY THE CLINICS ARE INCLUDED ON THIS FORM 990.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE MINISTRY WEB PAGE IS AVAILABLE TO THE PUBLIC FOR INSPECTION WITH A GOOD DEAL OF INFORMATION REGARDING WHO MINISTRY HEALTH CARE IS AND THE ENTITIES INCLUDED ALONG WITH OUR MISSION. THE ARTICLES OF INCORPORATION, BYLAWS, CONFLICTS POLICY AND FINANCIAL STATEMENTS ARE NOT INCLUDED ON ANY WEB PAGE. HOWEVER, IF AN INQUIRY IS MADE FOR ANY DOCUMENTS THEY ARE SHARED AS APPROPRIATE.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE MINISTRY BOARD OF DIRECTORS HAS A COMPENSATION COMMITTEE THAT IS ASSISTED BY AN INDEPENDENT OUTSIDE CONSULTING FIRM, SULLIVAN COTTER. SULLIVAN COTTER, IN PARTNERSHIP WITH THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS MARKET DATA FOR COMPENSATION AND BENEFITS AND COMPARABILITY DATA ON EVERY MINISTRY HEALTH CARE EXECUTIVE.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsTHE BOARD MEMBERS COMPLETE A "BOARD OF DIRECTORS CONFLICT OF INTEREST & INSIDER TRANSACTION POLICY QUESTIONNAIRE" EACH YEAR. A STANDARD ANNUAL REFRESHER IS COMPLETED IN THE FALL EACH YEAR. ANY SIGNIFICANT REPORTED ITEMS ARE CORRECTED PROMPTLY THROUGH THE MINISTRY CORPORATE COMPLIANCE OFFICER AND LOCAL ADMINISTRATOR.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessFORM 990 IS COMPLETED THROUGH JOINT EFFORTS OF A SHARED FINANCE FUNCTION ALONG WITH GUIDANCE OF LEGAL COUNCIL WHEN DEEMED NECESSARY AND CORPORATE OVERSIGHT. THE FORM IS PRESENTED TO THE HOSPITAL'S GOVERNING BODY AT THE BOARD COMMITTEE MEETING. THE PRESIDENT AND FINANCE DIRECTOR PRESENT AND BRIEFLY EXPLAIN THE FORM AND ITS PURPOSE.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersMINISTRY HEALTH CARE INC (39-1490371) AS CORPORATE MEMBER HAS CERTAIN RESERVED POWERS WHICH INCLUDE TO DEFINE LONG-RANGE GOALS, STRATEGIC PLANS AND LONG-TERM OBJECTIVES; TO INITIATE AND APPROVE ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS; TO INITIATE AND APPROVE LONG-TERM BORROWING; TO APPROVE ALL CAPITAL AND OPERATING BUDGETS IN EXCESS OF CERTAIN AMOUNTS; TO APPROVE SELECTION AND RETENTION OF INDEPENDENT AUDIT FIRM AND LEGAL COUNSEL AND SUCH OTHER MATTERS AS STATED IN THE CORPORATE BYLAWS.Form 990, Part VI, Line 7b
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyMINISTRY HEALTH CARE INC (39-1490371) HAS THE POWER TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS, AUTHORIZE VACANCIES, AND DETERMINE THE NUMBER OF DIRECTORS.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderMINISTRY HEALTH CARE INC (39-1490371) IS SOLE CORPORATE MEMBER AND HAS CERTAIN RESERVED POWERS OVER ITS WHOLLY OWNED HEALTH CARE FACILITIES INCLUDING ST MICHAELS HOSPITAL INC.Form 990, Part VI, Line 6

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
SAINT MICHAELS FOUNDATION OF STEVENS POI
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410FOUNDATIONWI501(C)(3)11-1N/Atrue
MINISTRY HEALTH CARE INC
11925 W LAKE PARK DRIVEMILWAUKEEWI53224391490371MANAGEMENT COMPANYWI501(C)(3)11-ON/Afalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SAINT MICHAELS FOUNDATION OF STEVENS POI
q116420GL DETAIL
SAINT MICHAELS FOUNDATION OF STEVENS POI
n141838PAYROLL JRNL
SAINT MICHAELS FOUNDATION OF STEVENS POI
c86894DISB JRNL
MINISTRY HEALTH CARE INC
q3200000COST
MINISTRY HEALTH CARE INC
o9421315COST
MINISTRY HEALTH CARE INC
n7839811PAY RECORDS
MINISTRY HEALTH CARE INC
i265820SQ FTG FMV
MINISTRY HEALTH CARE INC
e5047942PRINCIPAL PYMTS

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